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56 Cards in this Set

  • Front
  • Back

PH

7.35-7.45

PC02

35-45 mm Hg



HC03-

22-27 mm Hg

P02

80%-100%

Sa02

96%-100%

Blood urea nitrogen (BUN)

8-25 mg/dL

Creatinine

0.6-1.3 mg/ml

cholesterol


-total


-HDL


-LDL

total: 140-199 mg/dL


HDL: 30-70 mg/dL


LDL: less than 130 mg/dL

Triglycerides

Lower than 200 mg/dL

protein

6-8 g/dL

albumin

3.4 - 5 g/dL

amylase

25 - 151 units/L

Lipase

10 - 140 units/L


-converts fats and triglycerides into fatty acids and glycerol

Ammonia

10-80 mcg/dL

Alanine aminotransferase (ALT)

10 - 40 units/L


-used to identify hepatocellular injury and inflammation of the liver and to monitory improvement or worsening of disease

Aspartate aminotransferase (AST)

10 - 30 units/L


-used to evaluate a client with suspected hepatocellular disease, injury, or inflammation A

Bilirubin


- direct (conjugated)


- indirect (unconjugated)


- total

- direct (conjugated): 0 - 0.3 mg/dL


- indirect (unconjugated): 0.1 - 1mg/dL


- total: lower than 1.5 mg/dL



sodium serum

135-145 mEq/L

What does sodium do for us?

- EXTRAcellular fluid


- maintains osmotic pressure and acid-base


balance


- assist in transmission of nerve impulse


-absorbed from small intestine and excreted in urine

potassium

3.5-5 mEq/L

what does potassium do for us?

-INTRAcellular


-regulate cellular water balance


-electrical conduction in muscle cells


-acid-base balance


-kidneys preserve and/or excrete K+


-used to evaluate cardiac, renal, GI function



chloride

98-107 mEq/L

Bicarbonate (venous)

22-29 mEq/L

Activated partial thromboplastin time (PTT)

20-30 seconds (Depending on testing method)

if a patient is receiving intermittent heparin, how when should we draw blood?

draw blood sample 1 hour BEFORE the next scheduled dose

what is the normal PTT for someone receiving heparin?

1.5-2.5 seconds

if a PTT is higher than WHAT, should you begin bleeding precautions?

90 seconds

PT in male adult

9.6 - 11.8 seconds

PT in female adult

9.5 - 11.3 seconds

INR standard and high doses?

standard: 2-3 for warfarin therapy


high doses: 3-4.5 for high dose warfarin therapy

if PT is longer than WHAT, should you begin bleeding precautions?

PT value is longer than 30 seconds in client receiving warfarin = initiate bleeding precautions

platelets

150,000 - 400,000 cells/mm3

Hemoglobin


Male vs. Female

Male: 14-16.5 g/dL


Female: 12-15 g/dL

Hematocrit


Male vs. Female

Male: 42% - 52%


Female: 35% - 47%

Iron


Male vs. Female

Male: 65 - 175 mcg/dL


Female: 50 - 170 mcg/dL

RBC


Male vs. Female

Male: 4.5 - 6.2 million/uL


Female: 4 - 5.5 million/uL

Creatinine Kinase (CK)

26 - 174 units/L

when does CK rise, peak, and return to normal after cell trauma?

Rise: within 6 hrs


Peak: at 18 hrs


returns to normal: 2-3 days

CK Isoenzymes


CK-MB (cardiac)


CK-MM (muscles)


CK-BB (brain)

MB: 0%-5% of total CK value


MM: 95% - 100% of total CK value


BB: 0% of CK value

Troponin I

lower than 0.6 ng/mL;




greater than 1.5 ng/mL indicates MI

Troponin T

lower than 0.1 - 0.2 ng/mL

Troponin I and T elevation after myocardial injury and how long?

As early as 3 hrs after myocardial injury


Trop I = remain elevated for 7-10 days


Trop T= remain elevated for as long as 10-14 days

myoglobin

<90 mcg/L;


elevation could indicate myocardial infarction

levels of myoglobin after myocardial infarction

rise as early as 2 hrs after MI and decline quickly after 7 hrs

Natriuretic peptides (NP)


- Atrial (ANP)


- Brain (BNP)


- C-type (CNP)

-ANP: 22-27 pg/mL


-BNP: less than 100 pg/mL


-CNP: not determined

which type of natriuretic peptides is used as the primary marker for ruling out HF?

BNP

Levels of amylase in acute pancreatitis

may exceed normal levels 5 times the normal

Levels of amylase in chronic pancreatitis

the rise does not usually exceed 3 times the normal

calcium

8.6-10 mg/dL

magnesium

1.6 - 2.6 mg/dL

phosphorus

2.7 - 4.5 mg/dL

WBC

45,000-150,000 cells/mm3

low total wbc shifts left means?

recovery from bone marrow depression or infection

high total wbc shift left means?

release of neutrophils in response to an infection or inflammation

WBC types:


- neutrophils


-bands


-eosinophils


- basophils


- lymphocytes


- monocytes

- neutrophils: 1800-7800


-bands: 0-700


-eosinophils: 0-450


- basophils: 0-200


- lymphocytes: 1000-4800


- monocytes: 0-800

Fibrinogen

men vs. women



men: 190-420


women: 180-340